Texas HHSC has adopted one new rule and several amendments to rules in the Texas Administrative Code, implementing legislation from HB 2025 passed in 2017. The rules were effective on October 28, 2018, but HHSC is giving Alf's, DAHS facilities and NF's until May 1, 2019 to develop and implement the policies related to Alzheimer's training. Enforcement on the other rule changes will be enforced now. The provider letter announcing this can be found here. The Texas Secretary of State has … [Read more...] about Newly Adopted Rules for ALF’s, DAHS’s, ICFs/IID, NF’s and Pediatric Extended Care Centers
#MeToo and Health Care –Part 1
With the Gary Nassar investigation and trial, #MeToo drew attention to sexual harassment and abuse in the healthcare profession. This is the first in a series of posts discussing that issue and how to deal effectively with it. Such misconduct can be directed at other employees, patients, consumers or visitors. This first post will define what sexual harassment is in the employment context. Sexual harassment includes but is not limited to: Conduct of a sexual nature that … [Read more...] about #MeToo and Health Care –Part 1
New Web-based Licensure System – Texas Unified Licensure Information Portal (TULIP)
Provider Letter : PL 18-15 - Texas Unified License Information Portal (TULIP) is a new web-based licensure system designed specifically for licensed long-term care providers it will begin on Sept 4, 2018. All licensure applications will be electronic, including those for initial licenses, renewals and changes of ownership. The provider letter out lines important dates and information related to TULIP’s benefits and features, as well as instructions for making a successful transition to … [Read more...] about New Web-based Licensure System – Texas Unified Licensure Information Portal (TULIP)
HHS Releases Report on Hospice Care Fraud in US
A report released recently released by the Office of Inspector General (OIG) at the US Department of Health titled: Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity has highlighted that hospice care fraud is a nationwide problem in the US. The report found that hospices do not always provide needed services to beneficiaries and sometimes provide poor quality care for Nursing home residents and other patients. When care is provided hospices’ inappropriate … [Read more...] about HHS Releases Report on Hospice Care Fraud in US
Annual Mandatory Training for Assisted Living Facility Manager
Long-Term Care Regulatory Provider Letter PL 18-12 (ALF) - Texas Health and Safety Code, Section 247.066(h) directs the Health and Human Services Commission (HHSC), to require that facility managers complete an annual training on aging in place and retaliation. The ALF rule is found at Texas Administrative Code, Title 40, Part 1, §92.41(f)(6). HHSC has developed a web-based training that meets this requirement. The creation of this course was required by House Bill (HB) 2109, … [Read more...] about Annual Mandatory Training for Assisted Living Facility Manager
Technical Memoranda (TM) concerning prescribed Life Safety Code (LSC) standards for ALFs
Provider Letter 18-11 - Technical Memoranda (TM) concerning prescribed Life Safety Code (LSC) standards for ALFs to be responsible for reviewing the LSC TM and complying with the guidance provided therein. The LSC is a set of fire protection requirements designed to provide a reasonable degree of safety at Assisted Living Facilities. It covers construction, protection, and operational features designed to provide safety from fire, smoke, and panic. According to the letter and 2.0 Policy … [Read more...] about Technical Memoranda (TM) concerning prescribed Life Safety Code (LSC) standards for ALFs
Healthcare concerns looms as Nursing provider shortage facing country intensifies
News reports have indicated that the Texas's large population of older residents, healthcare systems and assisted living facilities (ALF) could be impacted due to a nursing provider (NP) shortage facing the entire country. Central Texas and the Texas Panhandle are largely affected by the shortage of nurses. According to a Nursing Shortage Factsheet : The U.S. is projected to experience a shortage of Registered Nurses (RNs) that is expected to intensify as Baby Boomers age and the need for … [Read more...] about Healthcare concerns looms as Nursing provider shortage facing country intensifies
Long-term Care Regulatory Provider Letter – Incident Reporting Requirements
Provider Letter - PL 18-07 Providers have been reporting incidents without providing all of the information necessary for HHSC Complaint and Incident Intake (CII) to properly prioritize its review of those incidents. This letter serves as a guidance to the provider types including: Assisted Living Facilities (ALFs) Day Activity and Health Services (DAHS) Facilities, Home and Community Support Services Agencies (HCSSAs), Intermediate Care Facilities for Individuals with an … [Read more...] about Long-term Care Regulatory Provider Letter – Incident Reporting Requirements
Accessibility Standards in Assisted Living Facilities
Long-Term Care Regulatory Provider Letter - PL 18-05 Policy Update Re; Life Safety Code for Assisted Living Facility Senate Bill 1049, 85th Legislature, 2017 added §247.0264 to Texas Health and Safety Code, Chapter 247. This code affirms the role of the Texas Department of Licensing and Regulation (TDLR) in the interpretation and enforcement of accessibility standards in assisted living facilities. Effective since September 1, 2017, a Health and Human Services (HHSC) inspector may not cite … [Read more...] about Accessibility Standards in Assisted Living Facilities
American Health Care Association/National Center for Assisted Living Announce Quality Improvement Goals for Nursing Providers
The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) issued quality improvement goals for skilled nursing providers in long term and post-acute care. The goals, aligned with the priorities of the Centers for Medicare & Medicaid Services and federal mandates, were identified to improve care delivery during the next three years. According to reports: The goals outlined by the AHCA and NCAL include: --Safely reduce long- and short-stay hospitalizations by … [Read more...] about American Health Care Association/National Center for Assisted Living Announce Quality Improvement Goals for Nursing Providers
